Research & Publications

Drs. Bryan Sexton, Carrie Adair, Kyle Rehder, and their collaborators, are leaders in research on healthcare quality and safety, healthcare worker burnout and resilience, wellbeing, mindfulness, and teamwork and communication. With over 150 publications in high-impact journals, their research shapes the way health systems are improving the healthcare quality and the well-being of their workforce. You can learn about their latest research (below) and take courses that teach evidence-based tools.

Technical Report for the SCORE I Survey
Technical Report for the SCORE II Survey

  1. Penny CL, Adair KC, Frankel AS, Leonard MW, Proulx J, Mosca PJ, Sexton JB. A new look at an old well-being construct: evaluating the psychometric properties of 9, 5, and 1-item versions of emotional exhaustion metrics. Frontiers in Psychology. 2023 Nov 23;14 doi.org/10.3389/fpsyg.2023.1267660
  2. Rink LC, Silva SG, Adair KC, Oyesanya TO, Humphreys JC, Sexton JB. Characterizing burnout and resilience among nurses: A latent profile analysis of emotional exhaustion, emotional thriving and emotional recovery. Nurs Open. 2023 Nov;10(11):7279-7291.  doi: 10.1002/nop2.1980. Epub 2023 Sep 3. PMID: 37661657
  3. Belz FF, Adair KC, Proulx J, Frankel AS, Sexton JB. Corrigendum: The language of healthcare worker emotional exhaustion: a linguistic analysis of longitudinal survey. Front Psychiatry. 2023 Aug 3;14:1243602. doi:10.3389/fpsyt.2023.1243602. eCollection 2023. PMID: 37599867
  4. Sexton JB, Frankel AS. Leaders That Listen Meet Essential Psychological Needs of the Workforce. Mayo Clin Proc. 2023 Jun;98(6):823-825. doi. 10.1016/j.mayocp.2023.04.015. PMID: 37270268
  5. Rink LC, Oyesanya TO, Adair KC, Humphreys JC, Silva SG, Sexton JB. Stressors Among Healthcare Workers: A Summative Content Analysis. Glob Qual Nurs Res. 2023 March 30;10:23333936231161127. doi: 10.1177/23333936231161127. eCollection 2023 PMID: 37020708
  6. Adair KC, Tawfik D, Levoy E, Palassof S, Profit J, Frankel AS, Leonard M, Proulx J, Sexton JB. Assessing Leadership Behavior in Health Care: Introducing the Local Leadership scale of the SCORE Survey. Jt Comm J Qual Patient Saf. 2023 Mar;49(3):166-173. doi:10.1016/j.jcjq.2022.12.007. Epub 2022 Dec 23. PMID: 36717344
  7. Tawfik DS, Adair KC, Palassof S, Sexton JB, Levoy E, Frankel AS, Leonard M, Proulx J, Profit J. Leadership Behavior Associations with Domains of Safety Culture Engagement, and Health Care Worker Well-Being. Jt Comm J Qual Patient Saf. 2023 Mar;49(3):156-165. doi:10.1016/j.jcjq.2022.12.006. Epub 2022 Dec 23 PMID: 36658090
  8. Rehder KJ, Adair KC, Eckert E, Lang RW, Frankel AS, Proulx J, Sexton JB. Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…. J Patient Saf. 2023 Jan 1;19(1):36-41. doi:10.1097/PTS.0000000000001070. Epub 2022 Sep 9. PMID: 35948315
  9. Sexton JB, Adair KC, Cui X, Tawfik DS, Profit J. Effectiveness of bite-sized web-based intervention to improve healthcare worker wellbeing: A randomized clinical trial of WISER. Front Public Health. 2022 Dec 8;10:1016407. doi:10.3389/fpubh.2022.1016407. eCollection 2022. PMID: 36568789
  10. Sexton JB, Adair KC, Proulx J, Profit J, Cui X, Bae J, Frankel AS. Emotional Exhaustion Among US Health Care Workers Before and During the COVID-19 Pandemic, 2019-2021. JAMA Netw Open. 2022 Sep 1;5(9):e2232748. doi:10.1001/jamanetworkopen.2022.32748. PMID: 36129705
  11. Hall BJ, Puente M, Aguilar A, Sico I, Orozco Barrios M, Mendez S, Baumgartner JN, Boyd D, Calgua E, Lou-Meda R, Ramirez CC, Diez A, Tello A, Sexton JB, Rice H. Implementation challenges to patient safety in Guatemala: a mixed methods evaluation. BMJ Qual Saf. 2022 May 31(5):353-363. doi:10.1136/bmjqs-2020-012552. Epub 2021. May 26. PMID: 34039749
  12. Ravi D, Tawfik DS, Sexton JB, Profit J. Changing Safety Culture. J Perinatol. 2021 Oct;41(10):2552-2560. doi: 10.1038/s41372-020-00839-0. Epub 2020 Oct 6. PMID: 33024255
  13. Pierce RG, Maples WJ, Krippner J, Sexton JB, Adams P, Amerson T, Breslow A, Clark D, Paulus R, Duffy MB. Results from the National Taskforce for Humanity in Healthcare’s Integrated, Organizational Pilot Program to Improve Well-Being. Jt Comm J Qual Patient Saf. 2021 Sep;47(9):581 – 590. dio: 10.1016/j.jcjq.2021.05.010. Epub 2021 Jun 7. PMID: 34294565
  14. Tawfik DS, Sinha A, Bayati M, Adair KC, Shanafelt TD, Sexton JB, Profit J. Frustration with technology and its relation to emotional exhaustion among health care workers: cross-sectional Observational study. J Med Internet Res. 2021 Jul 6;23(7):e26817. doi: 10.2196/26817. PMID: 34255674
  15. Sexton JB, Adair KC, Profit J, Bae JB, Rehder K, Gosselin T, Milne J, Leonard M, Frankel AS. Safety culture and workforce well-being associations with Positive Leadership WalkRounds. The Joint Commission Journal for Quality and Patient Safety. 2021 Jul;47(7):403-411. doi.org/10.1016/j.jcjq.2021.04.001. PMID: 34024756
  16. Adair KC, Heath A, Frye MA, Frankel A, Proulx J, Rehder KJ, Eckert E, Penny C, Belz F, Sexton JB. The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) Survey: A Brief, Diagnostic, and Actionable Metric for the Ability to Speak Up in Healthcare Settings. J Patient Saf. 2022 Sep 1;18(6):513-520. doi: 10.1097/PTS.0000000000001048. PMID: 35985041.
  17. Rehder, Kyle J. MD, CPPS∗,†; Adair, K. Carrie PhD∗; Eckert, Erin MHA, CPPS∗; Lang, Richard W. MD‡; Frankel, Allan S. MD§; Proulx, Joshua BSEE§; Sexton, J. Bryan PhD∗,∥. Teamwork Before and During COVID-19: The Good, the Same, and the Ugly…. Journal of Patient Safety: August 10, 2022 – Volume – Issue – 10.1097/PTS.0000000000001070
    doi: 10.1097/PTS.0000000000001070
  18. Rink LC, Silva SG, Adair KC, Oyesanya TO, Humphreys JC, Sexton JB. The Association between Well-being Behaviors and Resilience in Health Care Workers. Western Journal of Nursing Research. 2022;44(8):743-754. doi:10.1177/01939459211017515
  19. Adair KC, Rodriguez-Homs L, Sexton JB. How can gratitude help healthcare workers? October 2021.
  20. Klimmeck S, Sexton JB, Scwendimann R. Changes in Safety and Teamwork Climate After Adding Structured Observations to Patient Safety WalkRounds. 8 September 2021.
  21. Rehder K, Adair KC, Sexton JB. The Science of Health Care Worker Burnout. 16 September 2021.
  22. Profit J, Adair KC, Cui X, Mitchell B, Brandon D, Tawfik DS, Rigdon J, Gould JB, Lee HC, Timpson WL, McCaffrey MJ, Davis AS, Pammi M, Matthews M, Stark AR, Papile L, Thomas E, Cotten M, Khan A, Sexton JB. Randomized Controlled Trial of the “WISER” Intervention to Reduce Healthcare Worker Burnout. 9 August 2021.
  23. Tawfik DS, Shanafelt TD, Dyrbye LN, Sinsky CA, West CP, Davis AS, Su F, Adair KC, Trockel MT, Profit J, Sexton JB. Personal and Professional Factors Associated With Work-Life Integration Among US Physicians. 27 May 2021.
  24. Miller AG, Roberts KJ, Hinkson CR, Davis G, Strickland SL, Rehder KJ. Resilience and Burnout Resources in Respiratory Care Departments. 2021 May 1.
  25. McPeek-Hinz E, Boazak M, Sexton JB, Adair KC, West V, Goldstein BA, Alphin RS, Idris S, Hammond WE, Hwang SE, Bae J. Clinician Burnout Associated with Sex, Clinician Type, Work Culture, and Use of Electronic Health Records. 2021 April 20.
  26. Haidari E, Main EK, Cui X, Cape V, Tawfik D, Adair KC, Sexton JB, Profit J. Maternal and Neonatal Health Care Worker Well-Being and Patient Safety Climate Amid the COVID-19 Pandemic. 2021 February 17.
  27. Adair KC, Rehder KJ, Sexton JB. Chapter 18: How Healthcare Worker Well-Being Intersects with Safety Culture, Workforce Engagement, and Operational Outcomes. Buy a copy of the book here.
  28. Sexton JB, Adair KC, Profit J, McCulloh M, Milne J, Scott S, Frankel A. Perceptions of Institutional Support for “Second Victims” Are Associated with Safety Culture and Workforce Well-Being. 2020 December 5.
  29. Petry SE, Hughes D, Galanos A. Grief: The Epidemic Within an Epidemic. American Journal of Hospice and Palliative Medicine. 2020 December 7.
  30. Profit J, Sharek PJ, Cui X, Nisbet CC, Thomas EJ, Tawfik DS, Lee HC, Draper D, Sexton JB. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. 2020 December 4. PDF.
  31. Adair KC, Kennedy LA, Sexton JB. Three Good Tools: Positively reflecting backwards and forwards is associated with robust improvements in well-being across three distinct interventions. The Journal of Positive Psychology. 2020 Jul 10:1-0.
  32. Adair KC, Rodriguez-Homs LG, Masoud S, Mosca PJ, Sexton JB. Gratitude at Work: Prospective Cohort Study of a Web-Based, Single-Exposure Well-Being Intervention for Health Care Workers. J Med Internet Res 2020;22(5):e15562
  33. Dhurjati, R. Twafik, D.S., Sexton, J.B. & Profit, J. (in press). Changing safety culture. Pediatrics.
  34. Wolpaw, J, & Adair, KC (2020). Shoe covers but not burnout? Making burnout reduction a criteria for CMS funding would protect patients. Journal of Patient Safety. doi: 10.1097/PTS.0000000000000681
  35. Rehder KJ, Adair KC, Hadley A, McKittrick K, Frankel A, Leonard M, Frankel TC, Sexton JB. Associations Between a New Disruptive Behaviors Scale and Teamwork, Patient Safety, Work-Life Balance, Burnout, and Depression. The Joint Commission Journal on Quality and Patient Safety. 2019 Nov 6.
  36. Tawfik DS, Thomas EJ, Vogus TJ, Liu JB, Sharek PJ, Nisbet CC, Lee HC, Sexton JB, Profit J. Safety Climate, Safety Climate Strength, and Length of Stay in the NICU. 2019 Oct 22. PDF
  37. Frankel AS, Adair KC, Sexton JB (June 2019). Speaking up for Patient Safety: What They Don’t Tell You in Training About Feedback and Burnout. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Network. https://psnet.ahrq.gov/webmm/case/479
  38. Sexton JB, Adair KC. Forty-five good things: a prospective pilot study of the Three Good Things well-being intervention in the USA for healthcare worker emotional exhaustion, depression, work–life balance and happiness
  39. Hadley A, Adair K, Rehder K, Sexton J. 114: Disruptive Behaviors In The Healthcare Setting And Their Effect On Safety Culture. Critical Care Medicine. 2019 Jan 1;47(1):40.
  40. Tawfik, DS, Scheid, A, Profit, J, Shanafelt, T, Trockel, M., Adair, KC, Sexton, JB, & Ioannidis, J (2019). Evidence relating healthcare provider burnout and quality of care: A systematic review and meta-analysis. Annals of Internal Medicine. 171(8): 555-567. doi:10.7326/M19-1152
  41. Adair, K. C., Rehder, K., & Sexton, J. B. (2019). How healthcare worker well-being intersects with safety culture, workforce engagement, and operational outcomes. Accepted in A. Montgomery, Michael Leiter and Dr. Efharis Panagopoulou (Eds.), The Triple Challenge: Connecting Health care worker well-being, patient safety and organisational change. New York, NY: Springer.
  42. Adair K. C., Quow, K., Frankel, A., Mosca, P. J., Profit, J., Hadley, A., … & Sexton, J. B. (2018). The Improvement Readiness scale of the SCORE survey: a metric to assess capacity for quality improvement in healthcare. BMC health services research, 18(1), 975.
  43. Schwartz, SP, Adair, KC, Bae, JB, Rehder, KJ, Shanafelt, T, Profit, J, & Sexton, JB (2019). Work-life balance behaviors cluster in work-settings and relate to burnout and safety culture: A cross-sectional survey analysis. BMJ Quality and Safety.
  44. Rice, E. L., Adair, K. C., Tepper, S. J., & Fredrickson, B. J. (2019). Social integration predicts repeated physical activity through positive emotions and spontaneous thoughts. Emotion, doi: 10.1037/emo0000616.
  45. Sexton, JB, Adair, KC, Leonard, MW, Frankel, TC, Proulx, J, Watson, SR, Magnus, B, Bogan, B, Jamal, M, Schwendimann, R, and Frankel, AS. Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. Bmj Quality & Safety 27, no. 4 (April 2018): 261-270.
  46. Schwartz, S. P., Rehder, K. J., & Turner, D. A. (February 2018) Transporting Critically Ill Children—Are We All on the Same Page? Pediatric Critical Care Medicine19(2), 172-173.
  47. Schwartz, S., Adair, K., Rehder, K., Bae, J., Shanafelt, T., & Sexton, J. (January 2018). 1271: The Relationship Between Work-life Balance Behaviors And Teamwork, Safety, And Burnout Climates. Critical Care Medicine46(1), 619.
  48. Kamath, S., Rehder, K., Uhl, T., Heath, T., Daley, C., & Cheifetz, I. (2018). 1315: Variation In Analgesia/sedation Practices By Time Of Day In A Pediatric Intensive Care UnitCritical Care Medicine46(1), 641.
  49. Rice, H. E., Lou-Meda, R., Saxton, A. T., Johnston, B. E., Ramirez, C. C., Mendez, S., … & Milne, J. (2018). Building a safety culture in global health: lessons from GuatemalaBMJ global health3(2), e000630.
  50. Adair, KC, Fredrickson, BL, Castro-Schilo, L, Kim, S, and Sidberry, S. Present with You: Does Cultivated Mindfulness Predict Greater Social Connection Through Gains in Decentering and Reductions in Negative Emotions? Mindfulness, 9 no.3 (2018): 737-749.
  51. Adair, KC, Boulton, AJ, and Algoe, SB. The Effect of Mindfulness on Relationship Satisfaction via Perceived Responsiveness: Findings from a Dyadic Study of Heterosexual Romantic Partners. Mindfulness, 9, no. 2 (2018): 597-609.
  52. Adair, K. C., & Sexton, J. B. (2018). Looking forward and backwards the good: The Three Good Things and Looking Forward Tools for resilience. Conditionally accepted at the Journal of Positive Psychology.
  53. Sexton, J. B., Adair, K. C., Frankel, A., Christensen, T., Leonard, M., Watson, S., & Bogan, B. (October 9, 2017). Providing feedback following leadership walkrounds is associated with better patient safety culture, higher employee engagement, and lower burnout. BMJ Quality and Safety, 27, 261-270.
  54. Tawfik, DS, Sexton, JB, Adair, KC, Kaplan, HC, and Profit, J. (September 2017). Culture & Context in Quality of Care: Improving Teamwork and Resilience. Clinics in perinatology, 44(3), 541-552. PDF.
  55. Profit, J, Sharek, PJ, Kan, P, Rigdon, J, Desai, M, Nisbet, CC, Tawfik, DS, Thomas, EJ, Lee, HC, and Sexton, JB. (August 2017) Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants. American Journal of Perinatology, 34(10), 1032-1040. PDF.
  56. Sexton, JB, Schwartz, SP, Chadwick, WA, Rehder, KJ, Bae, J, Bokovoy, J, Doram, K, Sotile, W, Adair, KC, and Profit, J. (August 2017). The associations between work-life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work-life climate scale, psychometric properties, benchmarking data and future directions. BMJ Quality & Safety, 26(8),    632-640.
  57. Tawfik, DS, Phibbs, CS, Sexton, JB, Kan, P, Sharek, PJ, Nisbet, CC, Rigdon, J, Trockel, M, and Profit, J. (May 2017). Factors Associated With Provider Burnout in the NICU. Pediatrics, 139(5).
  58. Elmariah, H, Thomas, S, Boggan, JC, Zaas, A, and Bae, J. (March 2017). The Burden of Burnout. American journal of medical quality : the official journal of the American College of Medical Quality, 32(2), 156-162.
  59. Tawfik, DS, Sexton, JB, Kan, P, Sharek, PJ, Nisbet, CC, Rigdon, J, Lee, HC, and Profit, J. (March 2017). Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections. Journal of perinatology : official journal of the California Perinatal Association 37(3), 315-320.
  60. Doram, K, Chadwick, W, Bokovoy, J, Profit, J, Sexton, JD, and Sexton, JB. (February 11, 2017): Got spirit? The spiritual climate scale, psychometric properties, benchmarking data and future directions.  BMC health services research, 17 (1) 132.
  61. Clay, A. S., Knudsen, N., Li, B., Scialla, T., Rehder, K., Blessing, R., & Li, H. J. (2017). Urgent And Emergent Medical Conditions: Entrustment Decisions At The End Of Medical School. In A23. EMERGING STRATEGIES TO TRAIN MEDICAL PROFESSIONALS (pp. A1104-A1104). American Thoracic Society.
  62. Sexton, J. B., Schwartz, S. P., Chadwick, W. A., Rehder, K. J., Bae, J., Bokovoy, J., … & Profit, J. (December 22, 2016). The associations between work–life balance behaviours, teamwork climate and safety climate: cross-sectional survey introducing the work–life climate scale, psychometric properties, benchmarking data and future directionsBMJ Qual Saf26(8), 632-640.
  63. Schwartz, S. P., & Rehder, K. J. (September 27, 2016). Quality improvement in pediatrics: past, present, and futurePediatric research.
  64. Haerkens, MH, van Leeuwen, W, Sexton, JB, Pickkers, P, and van der Hoeven, JG. “Validation of the Dutch language version of the Safety Attitudes Questionnaire (SAQ-NL).” BMC health services research 16, no. a (August 15, 2016): 385-.  Full Text
  65. Rehder, K. J., & Turner, D. A. (July 2016). Well-“Rounded” Medical Teams—What Does It Take? Pediatric critical care medicine17(7), 701-702.
  66. Fan, CJ, Pawlik, TM, Daniels, T, Vernon, N, Banks, K, Westby, P, Wick, EC, Sexton, JB, and Makary, MA. “Association of Safety Culture with Surgical Site Infection Outcomes.” Journal of the American College of Surgeons 222, no. 2 (February 2016): 122-128.  Full Text
  67. Schwartz, S., Frankel, A., Rehder, K., Leonard, M., Frankel, T., Watson, S., … & Sexton, J. (2016). 1255: Central Line-associated Bloodstream Infection Rates Associated With ICU Teamwork ClimateCritical Care Medicine44(12), 389.
  68. Rehder, K. J., Giuliano, J. S., Napolitano, N., Turner, D. A., Nuthall, G., Nadkarni, V. M., & Nishisaki, A. (December 2015). Increased Occurrence of Tracheal Intubation–Associated Events During Nights and Weekends in the PICUCritical care medicine43(12), 2668-2674.
  69. Profit J, Lee HC, Sharek PJ, Kan P, Nisbet CC, Thomas EJ, Etchegaray JM, Sexton BJ. Comparing NICU Teamwork and Safety Climate Across Two Commonly Used Survey Instruments. 2015 Dec 23. PDF.
  70. Gupta, RT, Sexton, JB, Milne, J, and Frush, DP. (January 2015). Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventionAJR.14.12775al ultrasound practice.  American journal of roentgenology, 204(1), 105-110.
  71. Breuer, R. K., Taicher, B., Turner, D. A., Cheifetz, I. M., & Rehder, K. J. (2015). Standardizing postoperative PICU handovers improves handover metrics and patient outcomesPediatric Critical Care Medicine16(3), 256-263.
  72. Adair, K. C., & Fredrickson, B. L (2015). Be open: Mindfulness predicts reduced motivated perception. Journal of Personality and Individual Differences, 83, 189-201.
  73. Profit, J, Sharek, PJ, Amspoker, AB, Kowalkowski, MA, Nisbet, CC, Thomas, EJ, Chadwick, WA, and Sexton, JB. “Burnout in the NICU setting and its relation to safety culture.” Bmj Quality & Safety 23, no. 10 (October 2014): 806-813.  Full Text  PDF
  74. Sexton, JB, Sharek, PJ, Thomas, EJ, Gould, JB, Nisbet, CC, Amspoker, AB, Kowalkowski, MA, Schwendimann, R, and Profit, J. “Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout.” Bmj Quality & Safety 23, no. 10 (October 2014): 814-822.
  75. Li, S., Rehder, K. J., Giuliano Jr, J. S., Apkon, M., Kamat, P., Nadkarni, V. M., … & National Emergency Airway Registry for Children (NEAR4KIDS) Investigators and Pediatric Acute Lung Injury and Sepsis Investigator (PALISI) Network Investigators. (August 20, 2014). Development of a Quality Improvement Bundle to Reduce Tracheal Intubation–Associated Events in Pediatric ICUsAmerican Journal of Medical Quality31(1), 47-55.
  76. Higgerson, R. A., Olsho, L. E., Christie, L. M., Rehder, K., Doksum, T., Gedeit, R., … & Randolph, A. G. (July 2014). Variability in IRBs regarding parental acceptance of passive consent. Pediatrics, peds-2013.
  77. Rehder, K. J., Cheifetz, I. M., Willson, D. F., & Turner, D. A. (January 2014). Perceptions of 24/7 in-hospital intensivist coverage on pediatric housestaff educationPediatrics133(1), 88-95.
  78. Yanamadala, M, Hawley, J, Sloane, R, Bae, JG, Heflin, M, and Buhr, G. (2014). Can graduate medical education trainees learn clinical quality improvement principles through online modules? Journal of graduate medical education, 6(1), 147-150.
  79. Rehder, K., Cheifetz, I., & Turner, D. (October 2013). The Educational Impact of In-House Attending Coverage Models in the Pediatric ICU. Chest144(4), 760A.
  80. Schwendimann, R, Milne, J, Frush, K, Ausserhofer, D, Frankel, A, and Sexton, JB. (September 2013). A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study.  Am J Med Qual 28(5), 414-421.
  81. Block, M, Ehrenworth, JF, Cuce, VM, Ng’Ang’A, N, Weinbach, J, Saber, S, Milic, M, Urgo, JA, Sokoli, D, Schlesinger, MD, and Sexton, JB. (January 1, 2013). Measuring handoff quality in labor and delivery: Development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Joint Commission Journal on Quality and Patient Safety, 39(5), 213-220.
  82. Schwendimann, R, Zimmermann, N, Küng, K, Ausserhofer, D, and Sexton, B. (January 2013). Variation in safety culture dimensions within and between US and Swiss Hospital Units: an exploratory study. Bmj Quality & Safety, 22(1), 32-41.
  83. Zimmermann, N, Küng, K, Sereika, SM, Engberg, S, Sexton, B, and Schwendimann, R. (January 2013). Assessing the Safety Attitudes Questionnaire (SAQ), German language version in Swiss university hospitals–a validation study. BMC health services research 13 347-.
  84. Daugherty, EL, Paine, LA, Maragakis, LL, Sexton, JB, and Rand, CS. (December 2012). Safety Culture and Hand Hygiene: Linking Attitudes to Behavior. Infection Control and Hospital Epidemiology, 33(12), 1280-1282.
  85. Rehder, K., Turner, D., Williford, W., & Cheifetz, I. (December 2012). Respiratory Therapy Participation in Rounds Improves Accuracy of Data Presentation.  Critical Care Medicine40(12), 1-328.
  86. Marsteller, JA, Sexton, JB, Hsu, Y-J, Hsiao, C-J, Holzmueller, CG, Pronovost, PJ, and Thompson, DA. “A multicenter, phased, cluster-randomized controlled trial to reduce central line-associated bloodstream infections in intensive care units*.” Critical Care Medicine 40, no. 11 (November 2012): 2933-2939.
  87. Lyndon, A, Sexton, JB, Simpson, KR, Rosenstein, A, Lee, KA, and Wachter, RM. “Predictors of likelihood of speaking up about safety concerns in labour and delivery.” Bmj Quality & Safety 21, no. 9 (September 2012): 791-799.
  88. Devriendt, E, Van den Heede, K, Coussement, J, Dejaeger, E, Surmont, K, Heylen, D, Schwendimann, R, Sexton, B, Wellens, NIH, Boonen, S, and Milisen, K. “Content validity and internal consistency of the Dutch translation of the Safety Attitudes Questionnaire: an observational study.” International Journal of Nursing Studies 49, no. 3 (March 2012): 327-337.
  89. Profit, J, Etchegaray, J, Petersen, LA, Sexton, JB, Hysong, SJ, Mei, M, and Thomas, EJ. “Neonatal intensive care unit safety culture varies widely.” ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION 97, no. 2 (March 2012): F120-F126.
  90. Profit, J, Etchegaray, J, Petersen, LA, Sexton, JB, Hysong, SJ, Mei, M, and Thomas, EJ. “The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.” Archives of Disease in Childhood-Fetal and Neonatal. Edition 97, no. 2 (March 2012): F127-F132.
  91. Thomas, E, Mazzocco, K, Graham, S, Petitti, D, Fong, K, Bonacum, D, Brookey, J, Lasky, R, and Sexton, B. (January 1, 2012). An empiric study of surgical team behaviours, patient outcomes, and a programme based on its results. 261-282.
  92. Rehder, K. J., Uhl, T. L., Meliones, J. N., Turner, D. A., Smith, P. B., & Mistry, K. P. (January 2012). Targeted interventions improve shared agreement of daily goals in the pediatric intensive care unit. Pediatric Critical Care Medicine13(1), 6.
  93. Uddin, SG, Marsteller, JA, Sexton, JB, Will, SE, and Fox, HE. (2012). Provider Attitudes Toward Clinical Protocols in Obstetrics.  AMERICAN JOURNAL OF MEDICAL QUALITY, 27(4), 335-340.
  94. Vigorito, MC, McNicoll, L, Adams, L, and Sexton, B. (November 2011). Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Joint Commission journal on quality and patient safety, 37(11), 509-514.
  95. Paine, LA, Rosenstein, BJ, Sexton, JB, Kent, P, Holzmueller, CG, and Pronovost, PJ. (June 1, 2011). Republished paper: Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.  Postgraduate Medical Journal, 87, no. 1028 428-435.  Full Text
  96. Sexton, JB, Berenholtz, SM, Goeschel, CA, Watson, SR, Holzmueller, CG, Thompson, DA, Hyzy, RC, Marsteller, JA, Schumacher, K, and Pronovost, PJ. (May 2011). Assessing and improving safety climate in a large cohort of intensive care units. Critical Care Medicine 39(5), 934-939.
  97. Berenholtz, SM, Pham, JC, Thompson, DA, Needham, DM, Lubomski, LH, Hyzy, RC, Welsh, R, Cosgrove, SE, Sexton, JB, Colantuoni, E, Watson, SR, Goeschel, CA, and Pronovost, PJ. (April 2011). Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infection Control and Hospital Epidemiology 32(4), 305-314.
  98. Rehder, K., Cheifetz, I., & Turner, D. (2011). 61: In-house Attending Coverage Does Not Adversely Impact Pediatric Critical Care Fellow AutonomyCritical Care Medicine, 39(12), 18.
  99. Paine, LA, Rosenstein, BJ, Sexton, JB, Kent, P, Holzmueller, CG, and Pronovost, PJ. (December 2010). Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Quality & safety in health care, 19(6), 547-554.
  100. Etchegaray, JM, Sexton, JB, Helmreich, RL, and Thomas, EJ. (June 2010). Job satisfaction ratings: measurement equivalence across nurses and physicians. Western Journal of Nursing Research, 32(4), 530-539.
  101. Huang, DT, Clermont, G, Kong, L, Weissfeld, LA, Sexton, JB, Rowan, KM, and Angus, DC. Intensive care unit safety culture and outcomes: a US multicenter study. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care 22, no. 3 (June 2010): 151-161.
  102. Nordén-Hägg, A, Sexton, JB, Kälvemark-Sporrong, S, Ring, L, and Kettis-Lindblad, Å. (April 11, 2010). Assessing safety culture in pharmacies: the psychometric validation of the Safety Attitudes Questionnaire (SAQ) in a national sample of community pharmacies in Sweden. BMC clinical pharmacology, 10.
  103. Pronovost, PJ, Goeschel, CA, Colantuoni, E, Watson, S, Lubomski, LH, Berenholtz, SM, Thompson, DA, Sinopoli, DJ, Cosgrove, S, Sexton, JB, Marsteller, JA, Hyzy, RC, Welsh, R, Posa, P, Schumacher, K, and Needham, D. (February 4, 2010). Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. BMJ (Clinical research ed.) 340 c309-.
  104. Hodgins, H. S., Weiburst, K. S., Weinstein, N., Shiffman, S., Miller, A. Coombs, G., & Adair, K. C. (2010). The cost of self-protection: Threat response and performance as a function of autonomy and control motivation. Personality and Social Psychology Bulletin, 36, 1115-1129.
  105. Thomas, E, Mazzocco, K, Graham, S, Petitti, D, Fong, K, Bonacum, D, Brookey, J, Lasky, R, and Sexton, B. (December 1, 2009). An empiric study of surgical team behaviours, patient outcomes, and a programme based on its results. 261-282.
  106. Sexton, JD, Pennebaker, JW, Holzmueller, CG, Wu, AW, Berenholtz, SM, Swoboda, SM, Pronovost, PJ, and Sexton, JB. (December 2009). Care for the caregiver: benefits of expressive writing for nurses in the United States. Progress in Palliative Care, 17(6), 307-312.
  107. Mazzocco, K, Petitti, DB, Fong, KT, Bonacum, D, Brookey, J, Graham, S, Lasky, RE, Sexton, JB, and Thomas, EJ. (May 2009). Surgical team behaviors and patient outcomes. American Journal of Surgery, 197(5), 678-685.
  108. Pronovost, PJ, Goeschel, CA, Olsen, KL, Pham, JC, Miller, MR, Berenholtz, SM, Sexton, JB, Marsteller, JA, Morlock, LL, Wu, AW, Loeb, JM, and Clancy, CM. (May 2009). Reducing health care hazards: lessons from the commercial aviation safety team. Health affairs (Project Hope), 28(3), w479-w489.
  109. Pronovost, PJ, Sexton, JB, Pham, JC, Goeschel, CA, Winters, BD, and Miller, MR. (March 2009). Measurement of quality and assurance of safety in the critically ill. Clinics in Chest Medicine, 30(1), 169-.
  110. Rodriguez-Paz, JM, Kennedy, M, Salas, E, Wu, AW, Sexton, JB, Hunt, EA, and Pronovost, PJ. (February 2009). Beyond “see one, do one, teach one”: toward a different training paradigm. Quality & safety in health care, 18(1), 63-68.
  111. Pronovost, PJ, Goeschel, CA, Marsteller, JA, Sexton, JB, Pham, JC, and Berenholtz, SM. (January 2009). Framework for patient safety research and improvement. Circulation 119, no. 2 330-337.
  112. Winters, BD, Gurses, AP, Lehmann, H, Sexton, JB, Rampersad, CJ, and Pronovost, PJ. (January 2009). Clinical review: checklists – translating evidence into practice. Critical Care (London, England) 13(6), 10-.
  113. Frankel, A, Grillo, SP, Pittman, M, Thomas, EJ, Horowitz, L, Page, M, and Sexton, B. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Health Services Research 43, no. 6 (December 2008): 2050-2066.
  114. Nundy, S, Mukherjee, A, Sexton, JB, Pronovost, PJ, Knight, A, Rowen, LC, Duncan, M, Syin, D, and Makary, MA. Impact of preoperative briefings on operating room delays: a preliminary report. Archives of surgery (Chicago, Ill. : 1960) 143, no. 11 (November 2008): 1068-1072.
  115. Marsteller, JA, Holzmueller, CG, Makary, M, Sexton, JB, Thompson, DA, Lubomski, LH, and Pronovost, PJ. Developing process-support tools for patient safety: finding the balance between validity and feasibility. Joint Commission journal on quality and patient safety 34, no. 10 (October 2008): 604-561.
  116. Pronovost, PJ, Berenholtz, SM, Goeschel, C, Thom, I, Watson, SR, Holzmueller, CG, Lyon, JS, Lubomski, LH, Thompson, DA, Needham, D, Hyzy, R, Welsh, R, Roth, G, Bander, J, Morlock, L, and Sexton, JB. Improving patient safety in intensive care units in Michigan. Journal of Critical Care 23, no. 2 (June 2008): 207-221.
  117. Block-Lerner, J., Adair, K. C., Plumb, J. C., Rhatigan, D. L., & Orsillo, S. M. (October 11, 2007). The case for mindfulness-based approaches in the cultivation of empathy: Does nonjudgmental present- moment awareness increase capacity for perspective-taking and empathic concern? Journal of Marital and Family Therapy, 33, 501-515.
  118. Makary, M. A., Al-Attar, A., Holzmueller, C. G., Sexton, J. B., Syin, D., Gilson, M. M., … & Pronovost, P. J. (June 28, 2007). Needlestick injuries among surgeons in trainingNew England Journal of Medicine356(26), 2693-2699.
  119. Makary, M. A., Mukherjee, A., Sexton, J. B., Syin, D., Goodrich, E., Hartmann, E., … & Pronovost, P. J. (February 2007). Operating room briefings and wrong-site surgery. Journal of the American College of Surgeons204(2), 236-243.
  120. Modak, I., Sexton, J. B., Lux, T. R., Helmreich, R. L., & Thomas, E. J. (January 2007). Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire—ambulatory versionJournal of general internal medicine22(1), 1-5.
  121. Thomas, E. J., Taggart, B., Crandell, S., Lasky, R. E., Williams, A. L., Love, L. J., … & Helmreich, R. L. (2007). Teaching teamwork during the Neonatal Resuscitation Program: a randomized trialJournal of Perinatology27(7), 409.
  122. Makary, M. A., Mukherjee, A., Sexton, J. B., Syin, D., Goodrich, E., Hartmann, E., … & Pronovost, P. J. (2007). Operating room briefings and wrong-site surgeryJournal of the American College of Surgeons204(2), 236-243.
  123. Rose, J. S., Thomas, C. S., Tersigni, A. R., Sexton, J. B., & Pryor, D. (August 2006) A leadership framework for culture change in health care. The Joint Commission Journal on Quality and Patient Safety32(8), 433-442.
  124. Pronovost, P., Holzmueller, C. G., Needham, D. M., Sexton, J. B., Miller, M., Berenholtz, S., … & Winner, L. (July 2006). How will we know patients are safer? An organization-wide approach to measuring and improving safetyCritical care medicine34(7), 1988-1995.
  125. Makary, M. A., Holzmueller, C. G., Sexton, J. B., Thompson, D. A., Martinez, E. A., Freischlag, J. A., … & Pronovost, P. J. (July 2006). Operating room debriefingsJoint Commission Journal on Quality and Patient Safety32(7), 407-410.
  126. Sexton, J. B., Holzmueller, C. G., Pronovost, P. J., Thomas, E. J., McFerran, S., Nunes, J., … & Fox, H. E. (June 15, 2006). Variation in caregiver perceptions of teamwork climate in labor and delivery unitsJournal of perinatology26(8), 463.err
  127. Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Needham, D. M., Sexton, J. B., Thompson, D. A., … & Hunt, E. (June 9, 2006). Creating high reliability in health care organizationsHealth services research41(4p2), 1599-1617.
  128. Makary, M. A., Sexton, J. B., Freischlag, J. A., Holzmueller, C. G., Millman, E. A., Rowen, L., & Pronovost, P. J. (May 2006). Operating room teamwork among physicians and nurses: teamwork in the eye of the beholderJournal of the American College of Surgeons202(5), 746-752.
  129. Makary, M. A., Sexton, J. B., Freischlag, J. A., Millman, E. A., Pryor, D., Holzmueller, C., & Pronovost, P. J. (May 2006). Patient safety in surgeryAnnals of surgery243(5), 628.
  130. Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., … & Thomas, E. J. (April 2006). The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging researchBMC health services research6(1), 44.
  131. Thomas, E. J., Sexton, J. B., Lasky, R. E., Helmreich, R. L., Crandell, D. S., & Tyson, J. (January 26, 2006). Teamwork and quality during neonatal care in the delivery room. Journal of Perinatology26(3), 163.
  132. Krug, SE, Bojko, T, Dolan, MA, Frush, K, O’Malley, P, Sapien, et al. (2006). Pediatric mental health emergencies in the emergency medical services system. Pediatrics, 118(4), 1764-1767.
  133. Pronovost, P. J., Thompson, D. A., Holzmueller, C. G., Lubomski, L. H., Dorman, T., Dickman, F., … & Wu, A. W. (2006). Toward learning from patient safety reporting systemsJournal of critical care21(4), 305-315.
  134. Sexton, J. B., Makary, M. A., Tersigni, A. R., Pryor, D., Hendrich, A., Thomas, E. J., … & Pronovost, P. J. (2006). Teamwork in the Operating Room: Frontline Perspectives among Hospitals and Operating Room Personnel. The Journal of the American Society of Anesthesiologists105(5), 877-884.
  135. Wright, MC, Luo, X, Richardson, WJ, Leonard, MM, Hohenhaus, SM, Taekman, JM, and Frush, KS. (2006). Piloting team training at Duke University health system.  Proceedings of the Human Factors and Ergonomics Society, 949-953.
  136. Thomas, E. J., Sexton, J. B., Neilands, T. B., Frankel, A., & Helmreich, R. L. (April 11, 2005). The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical unitsBMC health services research5(1), 28.
  137. Pronovost, P., Weast, B., Rosenstein, B., Sexton, J. B., Holzmueller, C. G., Paine, L., … & Rubin, H. R. (March 2005). Implementing and validating a comprehensive unit-based safety programJournal of Patient Safety1(1), 33-40.
  138. Sexton, J. B., Thomas, E., & Pronovost, P. (2005). The context of care and the patient care team: The Safety Attitudes QuestionnaireBuilding a Better Delivery System. A New Engineering Health Care Partnership, 119-23.
  139. Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (October 1, 2004). Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitationBMJ Quality & Safety13(suppl 1), i57-i64.
  140. Pronovost, P. J., Wu, A. W., & Sexton, J. B. (June 15, 2004). Acute decompensation after removing a central line: practical approaches to increasing safety in the intensive care unitAnnals of Internal Medicine140(12), 1025-1033.
  141. Thomas, E. J., Sherwood, G. D., Mulhollem, J. L., Sexton, J. B., & Helmreich, R. L. (May 13, 2004). Working together in the neonatal intensive care unit: provider perspectivesJournal of Perinatology24(9), 552.
  142. Sexton, J. B., Grote, G., Naef, W., Straeter, O., & Helmreich, R. L. (2004). The better the team, the safer the world. Golden rules of group interaction in high risk environments: Evidence based suggestions for improving performance.
  143. Grote, G., Helmreich, R. L., Sträter, O., Häusler, R., Zala-Mezö, E., & Sexton, J. B. (2004). Setting the stage: characteristics of organisations, teams and tasks influencing team processes. Group interaction in high risk environments. Ashgate, Aldershot, UK, 111-140.
  144. Pronovost, P. J., Weast, B., Holzmueller, C. G., Rosenstein, B. J., Kidwell, R. P., Haller, K. B., … & Rubin, H. R. (November 26, 2003). Evaluation of the culture of safety: survey of clinicians and managers in an academic medical centerBMJ Quality & Safety12(6), 405-410.
  145. Thomas, E. J., Sexton, J. B., & Helmreich, R. L. (March 2003). Discrepant attitudes about teamwork among critical care nurses and physiciansCritical care medicine31(3), 956-959.
  146. Sexton, J. B., & Thomas, E. J. (2003). The Safety Climate Survey: psychometric and benchmarking propertiesAustin, TX: The University of Texas Center of Excellence for Patient Safety Research and Practice. Rockville, MD: Agency for Healthcare Research and Quality.
  147. Luther, K. M., Maguire, L., Mazabob, J., Sexton, J. B., Helmreich, R. L., & Thomas, E. (December 1, 2002). Engaging nurses in patient safetyCritical care nursing clinics of North America14(4), 341-346.
  148. Sexton, J. B. (May 2002). A Matter of life or death: Social psychological and organizational factors related to patient outcomes in the intensive care unit.